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Anterior shoulder dislocation while carrying a frail elder. A dislocated shoulder is a condition in which the head of the humerus is detached from the glenoid fossa. [2] Symptoms include shoulder pain and instability. [2] Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve. [1]
Shoulder reduction is the process of returning the shoulder to its normal position following a shoulder dislocation.Normally, closed reduction, in which the relationship of bone and joint is manipulated externally without surgical intervention, is used.
A Bankart repair is an operation for habitual anterior shoulder dislocation. [1] The joint capsule is sewed to the detached glenoid labrum, without duplication of the subscapularis tendon. The procedure is named for the Bankart lesion, a common name for the condition it addresses.
While the Latarjet procedure can be used for surgical treatment of most cases of shoulder dislocations or subluxation, it is particularly indicated in cases with bone defects. [4] The failure rate following arthroscopic Bankart repair has been shown to dramatically increase from 4% to 67% in patients with significant bone loss. [5]
Cunningham shoulder reduction was originally published in 2003 [1] and is an anatomically based method of shoulder reduction that utilizes positioning (analgesic position), voluntary scapular retraction, and bicipital massage. It is designed for true anterior/subcoracoid glenohumeral dislocations in patients who can fully adduct their humerus. [2]
The lesion is associated with anterior shoulder dislocation. [1] When the humerus is driven from the glenoid cavity, its relatively soft head impacts against the anterior edge of the glenoid. The result is a divot or flattening in the posterolateral aspect of the humeral head, usually opposite the coracoid process. The mechanism which leads to ...